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Integrated (one-stop shop) youth health care: best available evidence and future directions.
Med J Aust. 2017 Nov 20; 207(10):S5-S18.MJ

Abstract

Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.

Authors+Show Affiliations

Hetrick SE
Orygen, The National Centre of Excellence in Youth Mental Health and The Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC pat.mcgorry@orygen.org.au.
Bailey AP
Orygen, The National Centre of Excellence in Youth Mental Health and The Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC.
Smith KE
Evolve Youth Services, Wellington, New Zealand.
Malla A
Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
Mathias S
Foundry, Department of Psychiatry, University of British Columbia, and FRAYME/CADRE Knowledge Network, Vancouver, British Columbia, Canada.
Singh SP
Division of Health Sciences, University of Warwick, Coventry, UK.
O'Reilly A
Jigsaw, The National Centre for Youth Mental Health, Dublin, Ireland.
Verma SK
Department of Early Psychosis Intervention, Institute of Mental Health, Singapore, Singapore.
Benoit L
Sorbonne University and Maisons des Adolescents, Maison de Solenn, Cochin Hospital, Paris, France.
Fleming TM
Department of Psychological Medicine, University of Auckland, Auckland, and Te Wāhanga Tātai Hauora, Victoria University of Wellington, Wellington, New Zealand.
Moro MR
Sorbonne University and Maisons des Adolescents, Maison de Solenn, Cochin Hospital, Paris, France.
Rickwood DJ
headspace, National Youth Mental Health Foundation, Melbourne, VIC.
Duffy J
Jigsaw, The National Centre for Youth Mental Health, Dublin, Ireland.
Eriksen T
Youth One Stop Shop, Network of Youth One Stop Shops, Palmerston North, New Zealand.
Illback R
REACH of Louisville, Louisville, Ky, USA.
Fisher CA
Allied Health - Psychology, Royal Melbourne Hospital, Melbourne, VIC.
McGorry PD
Orygen, The National Centre of Excellence in Youth Mental Health and The Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC.

MeSH

AdolescentAustraliaDelivery of Health CareEvidence-Based MedicineHealth ServicesHumansMental DisordersMental Health ServicesPrimary Health CareYoung Adult

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

29129182

Citation

Hetrick, Sarah E., et al. "Integrated (one-stop Shop) Youth Health Care: Best Available Evidence and Future Directions." The Medical Journal of Australia, vol. 207, no. 10, 2017, pp. S5-S18.
Hetrick SE, Bailey AP, Smith KE, et al. Integrated (one-stop shop) youth health care: best available evidence and future directions. Med J Aust. 2017;207(10):S5-S18.
Hetrick, S. E., Bailey, A. P., Smith, K. E., Malla, A., Mathias, S., Singh, S. P., O'Reilly, A., Verma, S. K., Benoit, L., Fleming, T. M., Moro, M. R., Rickwood, D. J., Duffy, J., Eriksen, T., Illback, R., Fisher, C. A., & McGorry, P. D. (2017). Integrated (one-stop shop) youth health care: best available evidence and future directions. The Medical Journal of Australia, 207(10), S5-S18.
Hetrick SE, et al. Integrated (one-stop Shop) Youth Health Care: Best Available Evidence and Future Directions. Med J Aust. 2017 Nov 20;207(10):S5-S18. PubMed PMID: 29129182.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Integrated (one-stop shop) youth health care: best available evidence and future directions. AU - Hetrick,Sarah E, AU - Bailey,Alan P, AU - Smith,Kirsten E, AU - Malla,Ashok, AU - Mathias,Steve, AU - Singh,Swaran P, AU - O'Reilly,Aileen, AU - Verma,Swapna K, AU - Benoit,Laelia, AU - Fleming,Theresa M, AU - Moro,Marie Rose, AU - Rickwood,Debra J, AU - Duffy,Joseph, AU - Eriksen,Trissel, AU - Illback,Robert, AU - Fisher,Caroline A, AU - McGorry,Patrick D, PY - 2017/9/15/received PY - 2017/9/26/accepted PY - 2017/11/14/entrez PY - 2017/11/14/pubmed PY - 2017/11/29/medline KW - Adolescent psychiatry KW - Health services research KW - Mental health policy SP - S5 EP - S18 JF - The Medical journal of Australia JO - Med J Aust VL - 207 IS - 10 N2 - Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery. SN - 1326-5377 UR - https://www.unboundmedicine.com/medline/citation/29129182/Integrated__one_stop_shop__youth_health_care:_best_available_evidence_and_future_directions_ DB - PRIME DP - Unbound Medicine ER -